BLACKBIRD BEHAVIORAL HEALTH
NPI 1245748722
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oak Park, IL
About Blackbird Behavioral Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACKBIRD BEHAVIORAL HEALTH (NPI 1245748722) is a healthcare organization registered as a mental health (including community mental health center) in Oak Park, Illinois and active in the NPI registry since January 2018. The organization lists Sharon K Black, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Blackbird Behavioral Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Blackbird Behavioral Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Blackbird Behavioral Health, PC's NPI number?
The NPI number for Blackbird Behavioral Health, PC is 1245748722. It was assigned to this organization in the NPPES registry on January 18, 2018. The provider is doing business as Blackbird Behavioral Health.
Where is Blackbird Behavioral Health, PC located?
Blackbird Behavioral Health, PC is located at 715 Lake St Ste 410, Oak Park, IL 60301. The listed phone number is (708) 209-8987.
What is Blackbird Behavioral Health, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Blackbird Behavioral Health, PC enrolled in Medicare?
Yes. Blackbird Behavioral Health, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Blackbird Behavioral Health, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Blackbird Behavioral Health, PC, in Clinical Psychologist and Clinical Social Worker. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Blackbird Behavioral Health, PC was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Blackbird Behavioral Health · NPI 1245748722
Mental Health (Including Community Mental Health Center) organization in Oak Park, Illinois. Organization record, active in the CMS NPPES registry since January 18, 2018.
## Identity
- **NPI:** 1245748722 (Entity type: Organization)
- **Enumerated:** January 18, 2018
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Legal business name:** Blackbird Behavioral Health, Pc
- **Organization subpart:** No
- **Authorized official:** Sharon Black, DIRECTOR
## Practice location
- **Address:** 715 LAKE ST STE 410, Oak Park, IL 60301-1413
- **Phone:** (708) 209-8987
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Clinical Social Worker (2), Clinical Psychologist (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1245748722) · Data from the CMS NPPES public registry.